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				Re: Why Capecitabine and Exemestane?
			 
			 
			
		
		
		
		Affinitor is used in combination with Aromosin because in ER+/Her2 negative bc when Armidex or Femara has failed. It's the way the study was run and nothing more. Generally, the biochemical reaction in the body to inhibit the conversion androgens to estrogen is by inhibiting aromotase ( the catalyst for this reaction).  Armidex and Femara use the same mechanism for this. Aromosin inhibits in a different mechanism.  
 
I think your Xeloda question has a similar answer. Xeloda inhibits the synthesis of dna by inhibiting a chemical needed. It works differently than the other drugs mentioned and so the combo has a bigger punch by shutting down multiple mechanisms on reproduction. 
		
	
		
		
		
		
		
		
			
				__________________ 
				Kind regards 
  
Becky 
  
Found lump via BSE 
Diagnosed 8/04 at age 45 
1.9cm tumor, ER+PR-, Her2 3+(rt side) 
2 micromets to sentinel node 
Stage 2A 
left 3mm DCIS - low grade ER+PR+Her2 neg 
lumpectomies 9/7/04 
4DD AC followed by 4 DD taxol 
Used Leukine instead of Neulasta 
35 rads on right side only 
4/05 started Tamoxifen 
Started Herceptin 4 months after last Taxol due to 
trial results and 2005 ASCO meeting & recommendations 
Oophorectomy 8/05 
Started Arimidex 9/05 
Finished Herceptin (16 months) 9/06 
Arimidex Only 
Prolia every 6 months for osteopenia 
  
NED 18 years! 
  
Said Christopher Robin to Pooh: "You must remember this: You're braver than you believe and stronger than you seem and smarter than you think"
			 
		
		
		
		
		
		
	
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